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SEAN M NIEDERST CNP
NPI 1659724235
Nurse Practitioner - Acute Care in Columbus, OH

Active since July 19, 2016PECOS Enrolled
84.5/100
CMS Quality Rating
111 S GRANT AVE, SUITE 350, COLUMBUS, OH 43215(614) 566-9160(614) 566-8392 Get Directions Write a Review

NPPES record last updated: January 25, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 25, 2022, Jan 7, 2021, Jun 18, 2019 (3 updates tracked since 2019).

About Sean M Niederst Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SEAN M NIEDERST CNP (NPI 1659724235) is an individual acute care provider in Columbus, Ohio, licensed in Ohio (APRN.CNP.019348) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS, is affiliated with Ohiohealth Mansfield Hospital, and maintains a secondary practice location in Beavercreek.

NPPES Registry Identity

NPI1659724235
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameSEAN M NIEDERSTCredential: CNP
Location Address111 S GRANT AVE, SUITE 350Columbus, OH 43215-4701
Mailing Address5450 Frantz Rd Ste 360Dublin, OH 43016-4141
Phone(614) 566-9160
Fax(614) 566-8392
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 19, 2016
Last NPPES UpdateJanuary 25, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2021
✔ NPI 1659724235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in OH · APRN.CNP.019348
111 S GRANT AVE, Columbus, OH 43215
Open in Google Maps ↗

Secondary Practice Location 1

Location 13535 Pentagon BlvdBeavercreek, OH 45431-1705 · Phone (937) 702-4503 · Fax (937) 702-4129

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sean M Niederst Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012203714
PECOS Enrollment IDI20160906002702
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Sean Niederst reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ohiohealth Corporation
Same address
Anesthesiology
111 S GRANT AVE FL 3
Columbus, OH 43215
  • Reassigned Medicare billing, Ohio enrollment
  • 3,314 clinicians in this Medicare group
NPI 1407292105 (614) 566-8808
Kettering Independent Medical Group Inc
70 mi
Orthopaedic Surgery
1 PRESTIGE PL, SUITE 910
Miamisburg, OH 45342
  • Reassigned Medicare billing, Ohio enrollment
  • 984 clinicians in this Medicare group
NPI 1629387865 (937) 762-1629
University Hospitals Cleveland Medical Center
129 mi
Nurse Practitioner
11100 EUCLID AVE
Cleveland, OH 44106
  • Reassigned Medicare billing, Ohio enrollment
  • 227 clinicians in this Medicare group
NPI 1043747454 (216) 844-8447
Ohman Family Living Medical Services LLC
132 mi
Family Medicine
7160 CHAGRIN RD
Chagrin Falls, OH 44023
  • Reassigned Medicare billing, Ohio enrollment
  • 9 clinicians in this Medicare group
NPI 1700680915 (440) 338-2320

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
45 services39 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
15 services15 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
13 services13 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
12 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ohiohealth Mansfield Hospital

Acute Care Hospitals · Mansfield, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360118
Location335 Glessner AvenueMansfield, OH 44903 · Richland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43215 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.16
Promoting Interoperability100
Improvement Activities40
Cost67.18

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PRISCA MAYNARD M.D.
Internal Medicine
111 S GRANT AVE
COLUMBUS, OH 43215
Franklin County (614) 566-8883
AMANDA NICOLE NEWBURGER
Nurse Practitioner (Neonatal)
111 S GRANT AVE
COLUMBUS, OH 43215
Franklin County (614) 566-9221
LINDA M BERTOLINI CRNA
Anesthesiology
111 S GRANT AVE, 3RD FLOOR
COLUMBUS, OH 43215
Franklin County (614) 566-8808
KARIE L MCLAUGHLIN CNP
Nurse Practitioner
111 S GRANT AVE
COLUMBUS, OH 43215
Franklin County (614) 566-8883
DR. SYEDA MARIAM SHAHID MD, MPH
Student in an Organized Health Care Education/Training Program
111 S GRANT AVE
COLUMBUS, OH 43215
Franklin County (614) 566-9041
PARIS DAE KNIPP PA-C
Physician Assistant
111 S GRANT AVE
COLUMBUS, OH 43215
Franklin County (740) 417-5607
DR. MARK BECKER M.D.
Radiology (Radiation Oncology)
111 S GRANT AVE
COLUMBUS, OH 43215
Franklin County (614) 566-9506
ANUPAMA SUNDARAM M.D.
Pediatrics (Neonatal-Perinatal Medicine)
111 S GRANT AVE
COLUMBUS, OH 43215
Franklin County (614) 566-9000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sean Niederst's NPI number?

The NPI number for Sean Niederst is 1659724235. It was assigned to this individual provider in the NPPES registry on July 19, 2016.

Where is Sean Niederst located?

Sean Niederst practices at 111 S Grant Ave Suite 350, Columbus, OH 43215. The listed phone number is (614) 566-9160.

What is Sean Niederst's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Sean Niederst enrolled in Medicare?

Yes. Sean Niederst is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sean Niederst's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sean Niederst reassigns Medicare benefits to 4 organizations: Ohiohealth Corporation (Columbus, OH), Kettering Independent Medical Group Inc (Miamisburg, OH), University Hospitals Cleveland Medical Center (Cleveland, OH) and Ohman Family Living Medical Services LLC (Chagrin Falls, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sean Niederst's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sean Niederst accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual and Molina Healthcare list Sean Niederst as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sean Niederst affiliated with any hospitals?

According to CMS data, Sean Niederst is affiliated with Ohiohealth Mansfield Hospital.

When was this NPI record last updated?

The NPPES record for Sean Niederst was last updated on January 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.